In a message dated 7/21/2003 12:57:52 PM Pacific Standard Time,
[log in to unmask] writes:


> Recent studies have suggested that adding ceral to thicken formula does not
> help reflux.  Therefore, it is not a reccommended practice in our hospital
> to use cereal to "thicken" formula.  According to the Pediatric Manual of
> Clinical Dietetics, "Thickened feedings may increase carbohydrate intake
> and dilute the nutrient density of the diet because some formula intake is
> displaced by ceral. Thickened feedings can increase the duration of reflux
> and may increase the risk of esophagitis and respiratory dysfunction.
> Also, breastmilk contains amylase................breaks down cereal, so it
> will not thicken.  In other words, adding cereal to thicken either formula
> or breastmilk is useless.  Most of our GERD babies are treated with
> medication(s).  I work with breastfeeding moms to alter positioning,
> offering smaller, more frequent feeds.
> Hope this helps.
> Becky Lyons, LD, IBCLC
>

Well said.  I agree - I never use thickened feedings.  But I do use a lot of
Reglan (metoclopramide) for premies.
nancy
Nancy E. Wight MD, FAAP, IBCLC
Neonatologist, Children's Hospital & Sharp Mary Birch Hospital for Women
Medical Director, Lactation Services, Sharp HealthCare
San Diego, CA
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